The analysis of linear/nonlinear coupling between heart rate and QT intervals

J. Halámek, P. Jurák, P. Veselý, V. Vondra, P. Leinveber
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Abstract

Two groups of subjects (21 healthy, 21 hypertensive patients) were tested during two measurement protocols (exercise, tilt). Two models of QT-RR coupling were tested - linear (LM) and nonlinear (NLM). QTc reproducibility was used as evidence of model validity. Results: LM was significantly better (lower QTc irreproducibility) than NLM (P<;0.01) during the tilt-table test. The differences were not significant during the exercise test; NLM was slightly better in hypertensive patients, LM in healthy subjects. Maximal irreproducibility of QTc over subjects was found in both tests with NLM. Conclusion: Evidence of QT-RR nonlinearity cannot be based on minimal error between QT and model QT. QTc reproducibility must also be tested and the excitation specificity of QT-RR coupling must be considered.
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心率与QT间期的线性/非线性耦合分析
两组受试者(21名健康人,21名高血压患者)采用两种测量方案(运动、倾斜)进行测试。测试了两种QT-RR耦合模型——线性模型(LM)和非线性模型(NLM)。采用QTc可重复性作为模型效度的证据。结果:在倾斜试验中,LM明显优于NLM (QTc不可重复性较低)(P< 0.01)。在运动测试中差异不显著;高血压患者NLM稍好,健康者LM稍好。在NLM的两项测试中,QTc在受试者身上的最大不可重复性被发现。结论:QT- rr非线性的证据不能建立在QT与模型QT误差最小的基础上,还必须检验QTc的可重复性,并考虑QT- rr耦合的兴奋特异性。
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